A Study of Ocular Toxicity Evaluation and Mitigation During Treatment With Mirvetuximab Soravtansine in Participants With Recurrent Ovarian Cancer With High Folate Receptor-Alpha Expression
A Randomized Phase 2 Study of Ocular Toxicity Evaluation and Mitigation During Treatment With Mirvetuximab Soravtansine in Patients With Recurrent Ovarian Cancer With High Folate Receptor-Alpha Expression
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: ABBVIE CALL CENTER
- Phone Number: 844-663-3742
- Email: abbvieclinicaltrials@abbvie.com
Study Locations
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New South Wales
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Blacktown, New South Wales, Australia, 2148
- Blacktown Hospital /ID# 269305
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Lambton Heights, New South Wales, Australia, 2305
- Newcastle Private Hosptial /ID# 269306
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Victoria
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Clayton, Victoria, Australia, 3168
- Monash Health - Monash Medical Centre - Clayton /ID# 269304
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Liège, Belgium, 4000
- CHU de Liege /ID# 269312
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Antwerpen
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Edegem, Antwerpen, Belgium, 2650
- Universitair Ziekenhuis Antwerpen /ID# 269310
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Oost-Vlaanderen
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Aalst, Oost-Vlaanderen, Belgium, 9300
- OLV Ziekenhuis Aalst /ID# 269311
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Ghent, Oost-Vlaanderen, Belgium, 9000
- AZ Sint-Lucas /ID# 269307
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Ghent, Oost-Vlaanderen, Belgium, 9000
- UZ Gent /ID# 269309
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Vlaams-Brabant
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Leuven, Vlaams-Brabant, Belgium, 3000
- Universitair Ziekenhuis Leuven /ID# 269308
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Quebec
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Montreal, Quebec, Canada, H1T 2M4
- Universite de Montreal - Hopital Maisonneuve-Rosemont /ID# 268862
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Montreal, Quebec, Canada, H2X 0C1
- Centre Hospitalier de l'Universite de Montreal /ID# 269314
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Montreal, Quebec, Canada, H4A 3J1
- McGill University Health Centre - Glen Site /ID# 269313
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Paris, France, 75020
- GH Diaconesses Croix Saint-Simon /ID# 269329
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Bouches-du-Rhone
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Marseille, Bouches-du-Rhone, France, 13273
- Institut Paoli-Calmettes /ID# 269648
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Indre-et-Loire
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Tours, Indre-et-Loire, France, 37000
- Centre Hospitalier Regional Universitaire de Tours - Hopital Bretonneau /ID# 269301
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Paris
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Paris, Paris, France, 75679
- Hopitaux Universitaires Paris Centre-Hopital Cochin /ID# 269330
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Rhone
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Pierre-Bénite, Rhone, France, 69310
- Hospices Civils de Lyon - Centre Hospitalier Lyon-Sud /ID# 269327
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Sarthe
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Le Mans, Sarthe, France, 72000
- Clinique Victor Hugo Le Mans /ID# 269985
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Dublin, Ireland, D07 R2WY
- Mater Misericordiae University Hospital /ID# 269334
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Dublin, Ireland, D09 XR63
- Beaumont Hospital /ID# 268864
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Barcelona, Spain, 08028
- Usp Instituto Universitario Dexeus /ID# 269322
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Barcelona, Spain, 08035
- Hospital Universitario Vall de Hebron /ID# 269315
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Cáceres, Spain, 10003
- Hospital San Pedro de Alcantara /ID# 269320
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Jaén, Spain, 23007
- Hospital Universitario de Jaen /ID# 269319
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Madrid, Spain, 28034
- Hospital Universitario Ramon y Cajal /ID# 269318
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre /ID# 269321
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Madrid, Spain, 28046
- Hospital Universitario La Paz /ID# 269302
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Valencia, Spain, 46026
- Hospital Universitario y Politecnico La Fe /ID# 269325
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California
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Los Angeles, California, United States, 90095
- University of California Los Angeles /ID# 269339
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San Francisco, California, United States, 94158-2531
- UCSF Medical Center /ID# 280425
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Kentucky
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Louisville, Kentucky, United States, 40207
- Norton Cancer Institute - St. Matthews /ID# 269070
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Maryland
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Silver Spring, Maryland, United States, 20910
- Holy Cross Hospital - Silver Spring /ID# 269344
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Missouri
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St Louis, Missouri, United States, 63141
- Mercy David C. Pratt Cancer Center /ID# 269350
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Nevada
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Reno, Nevada, United States, 89511
- The Center Of Hope /ID# 269348
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New Jersey
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Teaneck, New Jersey, United States, 07666
- Holy Name Medical Center /ID# 269340
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New York
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Albany, New York, United States, 12206-5013
- New York Oncology Hematology - Albany Cancer Center /ID# 269345
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Albany, New York, United States, 12208
- Women'S Cancer Care Associates /ID# 269980
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke Cancer Institute /ID# 269342
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Ohio
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Akron, Ohio, United States, 44304-1407
- Summa Health /ID# 269349
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Texas
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Dallas, Texas, United States, 75235
- University of Texas - Southwestern Medical Center /ID# 269341
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Houston, Texas, United States, 77089
- Memorial Hermann Southeast Hospital /ID# 269347
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants must have a confirmed diagnosis of epithelial ovarian, fallopian tube, and primary peritoneal cancer (EOC) with high FRα expression.
- Participant's tumor must be FRα positive (FRα high) as defined by either the VENTANA FOLR1 (FOLR-2.1) IUO Assay, or the VENTANA FOLR1 ( FOLR1-2.1) RxDx Assay (hereafter collectively termed VENTANA FOLR1 Assay) (≥ 75% cells exhibit ≥ 2+ membrane staining intensity).
- Participants with known breast cancer susceptibility gene (BRCA) mutations (tumor or germline) must have received poly (ADP-ribose) polymerase inhibitors (PARPi).
Participants must have completed prior therapy within the specified times below:
- Systemic antineoplastic therapy ≥ 5 half-lives or 4 weeks (whichever is shorter) before first dose of MIRV;
- Focal radiation completed ≥ 2 weeks before the first dose of MIRV.
- Participants must have stabilized or recovered (Grade 1 or baseline) from all prior therapy-related toxicities (except alopecia).
- Women of childbearing potential (WOCBP) must agree to use highly effective contraceptive method(s) while on MIRV and for ≥ 7 months after the last dose; and must have a negative pregnancy test ≤ 4 days before the first dose of MIRV.
Exclusion Criteria:
- Participants with borderline ovarian tumor or non-epithelial histology or mixed histology including borderline or non-epithelial histology will be excluded.
- PROC participants with primary platinum-refractory disease, defined as disease that did not respond to (complete response [CR] or partial response [PR]) or progressed within ≤ 3 months of the last dose of first line platinum-containing chemotherapy.
- Participants with > Grade 1 peripheral neuropathy per National Cancer Institute-Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE v5.0).
- Participants with significant active or chronic corneal disorders (for example, corneal dystrophies, degenerations, limbal stem cell deficiency), history of corneal transplantation, significant ocular inflammatory conditions (for example, active or recurrent uveitis), or other active ocular conditions requiring ongoing treatment/monitoring, such as uncontrolled glaucoma, active diabetic retinopathy with macular edema, macular degeneration requiring treatment ≤ 90 days before first dose, presence of papilledema, best corrected visual acuity (BCVA) worse than 20/70 in either eye, or monocular vision.
- Participants receiving corticosteroid or vasoconstricting eyedrops at baseline or within 5 weeks of Cycle 1 Day 1.
- Participants who received prior treatment with MIRV or other FRα-targeting agents. Note: Other protocol-defined inclusion and exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Primary Prophylactic Steroid Eye Drops
Prednisolone acetate ophthalmic suspension 1% 6 times daily on Days -1 to 4 and 4 times daily (QID) on Days 5 to 8 of each cycle; Lubricating eye drops QID throughout the entire cycle (doses should follow steroid dosing, when given, by approximately 15 minutes); MIRV 6 milligrams (mg)/kilogram (kg) adjusted ideal body weight (AIBW) every 3 weeks (Q3W) on Day 1 of each cycle.
Each cycle length = 21 days.
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Mirvetuximab soravtansine is an antibody drug conjugate designed to target folate receptor α (FRα).
It consists of the humanized anti-FRα monoclonal antibody (mAb) M9346A attached via a cleavable disulfide linker to the cytotoxic maytansinoid, DM4.
Other Names:
Lubricating artificial tears should be administered at least 15 minutes after corticosteroid or brimonidine eye drop administration.
Self-administration of prednisolone acetate ophthalmic suspension 1% eye drops as prescribed by the treating physician.
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Experimental: Primary Prophylactic Vasoconstricting Eye Drops
Primary prophylactic brimonidine tartrate ophthalmic solution eye drops 3 times daily (TID) on Days 1 to 8 of each cycle (vasoconstricting drops should be started on the day of first infusion and should begin before the first infusion on Cycle 1 Day 1); Lubricating eye drops QID throughout the entire cycle (doses should follow brimonidine dosing, when given, by approximately 15 minutes); MIRV 6 mg/kg AIBW Q3W on Day 1 of each cycle.
Each cycle length = 21 days.
|
Mirvetuximab soravtansine is an antibody drug conjugate designed to target folate receptor α (FRα).
It consists of the humanized anti-FRα monoclonal antibody (mAb) M9346A attached via a cleavable disulfide linker to the cytotoxic maytansinoid, DM4.
Other Names:
Lubricating artificial tears should be administered at least 15 minutes after corticosteroid or brimonidine eye drop administration.
Self-administration of brimonidine tartrate ophthalmic solution eye drops as prescribed by the treating physician.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With MIRV-related Corneal TEAEs (≥ Grade 2) in Asymptomatic Participants
Time Frame: Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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This endpoint will be assessed in the participants receiving MIRV who are asymptomatic .
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Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) Composite Score
Time Frame: At Cycle 5 Day 1 or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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At Cycle 5 Day 1 or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Area Under the Curve (AUC) of MIRV
Time Frame: Day 1 and Day 8 of Cycles 1 through 4 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Day 1 and Day 8 of Cycles 1 through 4 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Maximum Serum Concentration (Cmax) of MIRV
Time Frame: Day 1 and Day 8 of Cycles 1 through 4 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Day 1 and Day 8 of Cycles 1 through 4 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Trough Concentration (Ctrough) of MIRV
Time Frame: Day 1 and Day 8 of Cycles 1 through 4 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Day 1 and Day 8 of Cycles 1 through 4 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Number of Participants With Ocular symptom TEAEs in Participants Using Corticosteroid or Vasoconstricting Eye Drop Primary Prophylaxis
Time Frame: Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days
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Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days
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Number of Participants With MIRV-related Corneal TEAEs in Symptomatic Participants
Time Frame: Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Number of Participants With Ocular exam TEAEs in Asymptomatic Participants and Symptomatic participants
Time Frame: Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Number of Participants With MIRV-related Corneal TEAEs (≥ Grade 2) in Participants Using Corticosteroid or Vasoconstricting Eye Drop Primary Prophylaxis
Time Frame: Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Number of Participants with ocular exam TEAEs in Participants using corticosteroid or vasoconstricting eye drop primary prophylaxis
Time Frame: Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Cycle 1 Day 1 up to 18 weeks or at the 30-day follow-up visit, whichever is earlier (cycle length = 21 days)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: ABBVIE INC., AbbVie
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Ovarian Neoplasms
- Pharmaceutical Solutions
- Pharmaceutical Preparations
- Pharmacologic Actions
- Chemical Actions and Uses
- Therapeutic Uses
- Solutions
- Specialty Uses of Chemicals
- Lubricants
- Lubricant Eye Drops
- Ophthalmic Solutions
- mirvetuximab soravtansine
Other Study ID Numbers
Other Study ID Numbers
- IMGN853-0424
- 2023 (U.S. NIH Grant/Contract: GRAMMY Museum Foundation)
- 2023-505617-24-00 (Other Identifier: EU CT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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